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General NPI Number Information
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NPI Number | 1093647356
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Entity Type | Individual
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Provider Name | CHRISTINA BROWN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 699 CHURCH ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-1110
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Country | US
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Telephone | 229-339-4732
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Fax |
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Provider Business Mailing Address
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Address Line | 260 WHISPERWOOD LN NW
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City | MARIETTA
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State | GA
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Zip | 30064-1665
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 162087
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License Number State | GA
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